Jireh DME Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JIREH DME SUPPLIES, INC.

Practice address

7505 Pines Rd
Suite 1240
Shreveport, LA 71129-3935

Phone

(318) 820-6476

Fax

(877) 676-8988

NPI assigned

Mar 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tierra Latoya West

Title

President

Phone

(318) 820-6476

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1144491804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES RD",
            "address_2": "SUITE 1240",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293935",
            "telephone_number": "318-820-6476",
            "fax_number": "877-676-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD",
            "address_2": "SUITE 1240",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293935",
            "telephone_number": "318-820-6476",
            "fax_number": "877-676-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH DME SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-820-6476",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.